Male or Other

Jerry T. Staley MD

Physical Medicine & Rehabilitation Physician in Augusta, ME(View on Map)

Full Name

Jerry T Staley MD

NPI Number

1144256843

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/24/2006

Specialties

(Taxonomies)

Code

208100000X

Primary Taxonomy

Yes

Licenses

State

Missouri

License Number

2002023337

Contact
Information

Purpose

Mailing
Location

Address

55 MIDDLE ST
55 MIDDLE ST

City

Augusta
Augusta

State

ME
ME

Postal Code

04330-5728
04330-5728

Country

US
US

Telephone Number

(207) 629-9488
(207) 629-9488

Identifiers

Identifier

P00283188

Identifier State

MO

Identifier Issuer

RR MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/06/2007

Provider Address

Other Physical Medicine & Rehabilitation Physicians in Augusta, Maine:

Male or Other

Jerry Lin D.O.

Augusta, ME

Specialty: Physical Medicine & Rehabilitation Physician (Primary)

Male or Other

Alan Ross MD

Augusta, ME

Specialty: Physical Medicine & Rehabilitation Physician (Primary)

Female

Brandi Wiseman D.O.

Augusta, ME

Specialties: Physical Medicine & Rehabilitation Physician (Primary)Student in an Organized Health Care Education/Training Program

Male or Other

James Wilson MD

Augusta, ME

Specialties: Physical Medicine & Rehabilitation Physician (Primary)Interventional Pain Medicine PhysicianStudent in an Organized Health Care Education/Training Program